Functional and Aesthetic Factors Associated with Revision of Rhinoplasty

BACKGROUND: Surgical revision rate of rhinoplasty is from 5% to 15% in literature. The aims of our study were to define the rate and the predictive factors for surgical revision of rhinoplasty. METHODS: We have realized a single-center case/control study including 62 patients who underwent surgical revision among 732 patients who underwent closed rhinoplasty between 2005 and 2015. Data of each rhinoplasty were collected from medical records and photographs. Statistical analyses were used. RESULTS: The surgical revision rate was 8.6%. After multivariate analysis, 4 factors were statistically significant and independently associated with surgical revision: “preexisting respiratory functional disorder” [odds ratio OR = 3.30; 95% CI (1.47–7.76); P = 0.004], “wide nasal bone and side walls” [OR = 3.94; 95% CI (1.49–11.25); P = 0.007], “deviated nasal bone and side walls” [OR = 2.68; 95% CI [1.14–6.58]; P = 0.02] and the use of camouflage grafts [OR = 0.26; 95% CI [0.07–0.89]; P = 0.04]. CONCLUSIONS: Closed rhinoplasties have similar revision rate to open techniques. Revision surgeries are justified by functional or aesthetic disorders. The interests of this study are to better inform patients and to adapt operative management. We provide here some recommendations with focus on the keys to successful rhinoplasty surgery.